{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T13:56:23Z","timestamp":1789480583224,"version":"build-2803163510"},"reference-count":44,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2022,9,8]],"date-time":"2022-09-08T00:00:00Z","timestamp":1662595200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psychogeriatrics"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To examine how the severity of age\u2010related hearing loss (ARHL) and tinnitus or the presentation of ARHL with tinnitus is associated with overall cognition, in terms of specific cognitive domains in older community\u2010dwelling Chinese adults.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The study recruited 429 participants aged \u226558\u2009years (mean age, 72.91\u2009\u00b1\u20097.014\u2009years; female proportion, 57.30%), excluding those with dementia, disability, and severe mental illness. Patients were classified into normal cognition, pre\u2010mild cognitive impairment (pre\u2010MCI), and MCI according to the normative z\u2010scores of neuropsychological test battery. The severity of ARHL and tinnitus was measured by pure\u2010tone audiometry and the Tinnitus Handicap Inventory. Cognitive impairment and low functions in specific cognitive domains were used as dependent variables in multiple regression analyses adjusted for covariates.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>ARHL severity was positively associated with MCI and low executive function, delayed memory, and language function. Only individuals with mild (odds ratio (OR) 1.791; CI, 0.952\u20133.373; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.071), and moderate and the disaster tinnitus (OR, 2.493; CI, 0.982\u20136.328; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.055) were marginally associated with increased odds of MCI in model 1. Individuals with ARHL and tinnitus (OR, 3.888, CI\u00a0=\u00a01.481\u201310.205; OR, 4.471, CI\u00a0=\u00a01.636\u201312.219) were independently associated with high risk for MCI in models 1 and 2.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>ARHL severity and the presentation of ARHL or ARHL with tinnitus were associated with overall cognition. ARHL severity was independently associated with executive function, delayed memory, and language function. The association between tinnitus severity and cognition is not clear. But the group with ARHL and tinnitus is a high\u2010risk group with cognitive impairment.<\/jats:p><jats:p><jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/clinicaltrials.gov\">ClinicalTrials.gov<\/jats:ext-link> identifier: NCT2017K020.<\/jats:p><\/jats:sec>","DOI":"10.1111\/psyg.12889","type":"journal-article","created":{"date-parts":[[2022,9,9]],"date-time":"2022-09-09T00:28:05Z","timestamp":1662683285000},"page":"822-832","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Association between <scp>age\u2010related<\/scp> hearing loss with tinnitus and cognitive performance in older <scp>community\u2010dwelling<\/scp> Chinese adults"],"prefix":"10.1111","volume":"22","author":[{"given":"Weibin","family":"Zhang","sequence":"first","affiliation":[{"name":"Laboratory of Aging, Anti\u2010aging &amp; Cognitive Performance, Shanghai Institute of Geriatrics and Gerontology Fudan 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